veteran by chrstphr

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									T       E
            Comptroller
             of Public
                          50-135 (Rev. 10-01/7)
S       X    Accounts
                          [11.22 Rule 9.415]
    A         FORM
                                                                                                                                                                                                 YEAR
APPLICATION FOR DISABLED VETERAN'S OR SURVIVOR'S EXEMPTIONS
    Appraisal district name                                                                                                                                                Phone (area code
        ANGELINA COUNTY APPRAISAL DISTRICT                                                                                                                                 (936) 634-8456
    Address
        P.O. BOX 2357                                    LUFKIN, TEXAS 75902-2357                                418 NORTH SECOND ST.
        The application covers property you owned on January 1 of this year. You must file the completed form between January 1 and April 30 of
        this year. You may file a late exemption application if you file it no later than one year after the date you paid your taxes on this property or
        the taxes became delinquent, whichever comes first. Be sure to attach any additional documents requested. If the chief appraiser grants the
        exemption, you do not need to reapply annually, but you must reapply if the chief appraiser requires you to do so, or if you want the exemp-
        tion to apply to property not listed in this application. You must notify the chief appraiser in writing if and when your right to this exemption
        ends or your disability rating changes. Return the completed form to the address above.
Step 1:                                   Name of owner                                                                                                         Driver's License, Personal I.D. Certificate, or
                                                                                                                                                                Social Security Number*:
 Name and
 address of                               Present mailing address (number and street)
 owner
                                          City, town or post office, state, ZIP code                                                                                       Phone (area code and number)


Step 2:                                   Street address if different from above, or legal description if no address
 Describe
 the property
                                          Appraisal district account number (Optional):

                                          Mobile home: give make, model and identification number


            • Check the exemptions that apply to you and answer the questions.
            • You may qualify for more than one exemption.
Disabled                                    You qualify for this exemption if you are a veteran of the U.S. Armed Forces and your service branch or the Veteran's
veteran's                                   Administration has officially classified you as disabled. Your disability must be service related. You must be a Texas resident.
exemption                                   Please give the information requested below, and attach a letter or other document from the V.A. or service branch giving your
                                            most recent disability rating.
                Check here                Branch of service                                                               Disability rating                  Age                      Serial number
                 if this
                exemption
                applies to                  Are you a Texas resident? ..........................................................................................................        Yes             No
                you
                                            Check the box if you:                        have lost the use of one or more limbs (service related).

                                                                                         are blind in either or both eyes (service related).


Surviving                                   You qualify for this exemption if you are the surviving spouse or child of a deceased veteran of the U.S. Armed Forces and the vet-
spouse or                                   eran's service branch or the Veteran's Administration had officially classified the veteran as disabled before his/her death. The dis-
child of a                                  ability must have been service related. You must be a Texas resident. If you are a surviving spouse, you must not have remarried.
deceased                                    If you are a surviving child, you must be under 18 years old and your disabled parent's spouse must not have survived your dis-
                                            abled parent. Please give the information requested below, and attach a letter or other document from the V.A. or service branch
disabled
                                            giving the veteran's most recent disability rating. Also attach a copy of a birth certificate or marriage license showing your relation-
veteran                                     ship to the veteran.

                Check here                Veteran's name                                                Branch of service                       Disability rating            Age at death      Serial number
                 if this
                exemption
                applies to                  Check the box if the veteran:                        had lost the use of one or more limbs (service related).
                you
                                                                                                 was blind in either or both eyes (service related).

                                            Are you a Texas resident? ........................................................................................................       Yes         No
                                            Are you a surviving spouse? ......................................................................................................       Yes         No
                                            If you are a surviving spouse, have you remarried? ..................................................................                    Yes         No
                                            Are you a surviving child? ........................................................................................................      Yes         No
                                            If you are a surviving child:  are you under 18? ......................................................................                  Yes         No
                                                                           are you unmarried? ....................................................................                   Yes         No
                                                                           was your disabled parent married
                                                                           at the time he/she died? ............................................................                     Yes         No
                                                                           how many of your disabled parent's
                                                                           children are under 18 and unmarried? ......................................
50-135 (Rev. 10-01/7) - Page 2



 Surviving                You qualify for this exemption if you are the surviving spouse or child of a person who died while on active duty with the U.S. Armed
 spouse or                Forces. You must be a Texas resident. If you are a surviving child, you must be under 18 years old. Please give the information
 child of an              requested below, and attach a letter or other document from the V.A. or service branch showing that the person died on active duty.
 armed forces             Also attach a copy of a birth certificate or marriage license showing your relationship to the armed forces member. A surviving
 member killed            spouse who claims this exemption may not also receive an exemption as the surviving child of a deceased disabled veteran or
 on active duty           armed forces member killed on active duty.


      Check here         Member's name                                                 Branch of service                            Disability rating                Age at death   Serial number
       if this
      exemption
      applies to
      you                  Are you a Texas resident? ........................................................................................................                Yes     No

                           Are you a surviving spouse? ......................................................................................................                Yes     No

                           Are you a surviving child?             ........................................................................................................   Yes     No

                           If you are a surviving child:             are you under 18? ......................................................................                Yes     No
                                                                     are you unmarried? ....................................................................                 Yes     No
                                                                     how many of the member's
                                                                     children are under 18 and unmarried? ......................................




 Step 3:
  Check if                 If you were eligible for this exemption last year, check this box and enter the prior tax year. You must have met all of the qualifi-
  late application         cations above on January 1 of the prior tax year to receive the exemption last year.

                                           Application for exemption for prior tax year, _________ .




 Step 4:
  Sign the                 I certify that the information in this document and any attachments is true and correct to the best of my knowledge and belief.
  application
                                      Authorized signature                                                                                                           Date



                          If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a
                          state jail felony under Texas Penal Code Section 37.10.


*   You are required to give us this information on this form, in order to perform tax related functions for this office. Section 11.43 of the Tax Code
    authorizes this office to request this information to determine tax compliance.

								
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